RN Utilization Review Specialist
Healthcare Support Staffing
A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least two years of experience. This position offers a stable work schedule from Monday to Friday and an opportunity to work with a prestigious employer in the healthcare sector. #J-18808-Ljbffr Healthcare Support Staffing
- HUMBLE VASCULAR SURGICAL CENTER INC in Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring compliance with medical necessity guidelines while collaborating with physicians and interdisciplinary...Suggested
- ...With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, Utilization management or utilization review, and interfacing with health care payers/regulatory agencies. Benefits Becoming an AMN Healthcare...SuggestedTemporary work
- Job Title With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies. AMN HealthcareSuggested
- About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level... ...behavioral health or chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In...SuggestedFull timePart timeWeekend work
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing...SuggestedHourly payFull timePrivate practiceMonday to FridayDay shift$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$70k - $100k
...Description Methodist Surgery Center, part of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal for someone with many years of experience doing Utilization Review who can...Contract workRemote work2 days per week$2,250 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/17/2026 ~ Duration...Temporary workLocal areaImmediate startShift work- ...Description Day to Day Responsibilities: Conducts utilization management activities in accordance with... ...to calls, conducts certification reviews, facilitates the discharge planning and referral... ...AT (***) ***-**** ASAP! Qualifications RN License in NY with 2 years of experience...Hourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
$19.24 - $31.04 per hour
...Professional Review Specialist The Professional Review Specialist analyzes medical services and billing across various claim types to... ...claims process Prospective, concurrent and retrospective utilization review Pay Range: CorVel uses a market based approach...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...As a Mental Health Intake Specialist - RN, your voice to influence patient care is valued and... ...interventions within the Recovery Plan Utilize teaching skills related to psycho educational... ...Intake Specialist - RN opening. We review all applications. Qualified candidates...Temporary workImmediate startFlexible hours
- ...experience and 2 years of ECMO specialist experience ~ Licenses... ...(CCRN) CERT CRITICAL CARE RN (E-AEC) ELSO Adult ECMO Practitioner... ...needs and expectations and utilizes these in conjunction with the... ...participation in care. Reviews personalized patient plan of...Hourly payFull timeShift workNight shift
- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Full timeRemote work
- Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances Employee discounts Educational opportunities...Daily paidLocal area
- ...Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients... ...LVN license in the state of employment or compact required RN license in state of employment or compact preferred Work...Full time
- ...RN II - ECMO Specialist RN Team Lead (Nights) WHY UT SOUTHWESTERN? With over 75 years of excellence... ...'s family needs and expectations and utilizes these in conjunction with the assessment... ...patient/family participation in care. Reviews personalized patient plan of care with...Hourly payFull timeShift workNight shift
$2,250 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Dallas, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/17/2026 ~ Duration:...Temporary workLocal areaImmediate startShift work$125k - $182.5k
...Charge or Assistant Examiner-in-Charge, executing transaction reviews, secondary reviews of transactional testing completed by others... ..., external auditors and regulatory agencies.The Portfolio Specialist works together with the Credit Review Portfolio Manager(s) to...Full timeWork at officeFlexible hoursDay shift- A healthcare staffing agency is seeking a Review Nurse for a contract assignment starting immediately. The role involves medical record abstractions and overreads during the HEDIS survey, requiring a Registered Nurse or Licensed Practical Nurse with experience in HEDIS...Contract workImmediate start
- ...Overview A leading construction and utility services firm is seeking a dedicated Field Safety Technician to support ongoing safety efforts... ...Conduct field safety inspections and compliance audits Review daily tailboard briefings and Health and Safety Plans (HASPs) with...Full timeWork at officeNight shift
- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...Local area
- ...Join Our Team as a Full Time Medicaid Specialist! At St. Camillus, we're centered on celebrating... ...members, including, but not limited to, reviewing insurance coverage with families to... ...payers and billing procedures. Utilizes various financial reports to follow private...Full timeWork at officeLocal area
- 1861053BR Title: Photo Specialist Job Description: Job Summary Delivers a distinctive... .... • Maintains photo equipment and utilizes store systems and technology to support... ...role will remain open until filled. To review benefits, please click here jobs....Hourly payPart timeWork experience placementSeasonal workFlexible hoursAfternoon shift
$20 - $23 per hour
...Patient Access Specialist Helio Health is on a mission to treat and promote recovery from... ...self-pays and produce cash receipts. Review other methods of payment such as third-... ...documentation to complete the application. Utilize the H.I.T. system to enter all billing...Hourly payFull timeWork at officeLocal areaMonday to Friday$142k - $214k
...Asset Protection Specialist – The Home Depot Join to apply for the Asset Protection Specialist... ...in their assigned store(s). They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...Full time$28.5 - $32.5 per hour
...Position Summary The Enrollment Marketing Specialist is responsible for preparing and... ...Essential Functions Prepare, deploy, and review a range of digital communications and assets... ...effectively engage in information gathering, utilization, and data management. Support cura...Hourly payTemporary workApprenticeshipWork at officeLocal areaFlexible hours- ...Job Title Utilization Management Nurse Job Description Get To Know Us! WebTPA, a... ...designated. This requires an experienced RN with a diverse clinical background, as well... ...nature of the diagnosis. Medical record review to determine medical necessity of requested...Temporary workPart timeWork experience placement
- ...affordable, competitive and flexible benefits. Position Summary Credit Review provides an independent assessment of credit decisions and the... ..., external auditors and regulatory agencies. The Portfolio Specialist works with the Credit Review Portfolio Manager(s) to establish...Flexible hoursShift workDay shift
- ...This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness...Remote jobContract work
- ...Utility Analyst Provide analytical support to the Utility Manager, enabling effective and reliable operational support of all utility... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. CSquareLocal areaOverseasVisa sponsorship
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